Respiratory failure & ventilation

A non-invasive method to monitor respiratory muscle effort during mechanical ventilation

J Clin Monit ComputPublished Mechanistic study

Authors' conclusion

The study supports the feasibility of assessing respiratory effort during MV non-invasively through airway signal analysis.

Study context

Population
Patients on invasive mechanical ventilation (MV)epochs from 250 patients
Participants
51,268 patients
Comparison
Non-invasive Pmus estimate correlated with Paw's pressure-time product (PawPTP) and VT
  • Volume-control (VC) moden = 17,648 epochs
  • Pressure-control (PC) moden = 33,620 epochs
Outcome
Correlation of PmusPTP with PawPTP in VC mode and with VT in PC mode

Main finding

As reported in the abstract

VC mode

0.91

R² · interval 0.76–0.96

PC mode

0.88

R² · interval 0.74–0.94

Further findings

R²

OutcomeVC modePC mode
Negative control correlations (PmusPTP vs VT in VC; vs PawPTP in PC)0.030.06

Original publication

A non-invasive method to monitor respiratory muscle effort during mechanical ventilation. J Clin Monit Comput. Published 11 May 2024. doi:10.1007/s10877-024-01164-z

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